Page:United States Statutes at Large Volume 104 Part 2.djvu/462

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104 STAT. 1388-54 PUBLIC LAW 101-508—NOV. 5, 1990 onciliation Act of 1989, is amended by striking "during fiscal year 1990" and inserting "on or after January 1, 1990, and on or before September 30, 1990,". (B) Section 6005(c) of the Omnibus Budget Reconciliation 42 USC I395f Act of 1989 is amended by striking "subsection (a)" and "°*®" inserting "subsections (a) and O^)". (C) Section 1818A(d)(l) (42 U.S.C. 1395i-2a(d)(l)), as inserted by section 6012(a)(2) of the Omnibus Budget Reconciliation Act of 1989, is amended— (i) in subparagraph (A), by inserting "for enrollment under this section" after "Premiums", and (ii) by striking subparagraph (C). (D) Section 1818(g)(2)(B) (42 U.S.C. 1395i-2(g)(2)(B)), as added by section 6013(a) of the Omnibus Budget Reconciliation Act of 1989, is amended by striking "subsection (c)" and inserting "subsection (c)(6)". (F) Section 1819(f)(2)(A)(ii) (42 U.S.C. 1395i-3(f)(2)(A)(ii)) is amended by striking "and" at the end. (G) Section 1866(a)(1)(F) (42 U.S.C. 1395cc(a)(l)(F) is amended— (i) in clause (i), by striking the comma at the end and inserting "),", and (ii) in clause (ii), by striking "(4)(A)" and inserting "(3)(A)" and by striking the semicolon at the end and inserting a comma. PART 2—PROVISIONS RELATING TO PART B Subpart A—Payment for Physicians* Services SEC. 4101. CERTAIN OVERVALUED PROCEDURES. (a) PREVIOUSLY IDENTIFIED PROCEDURES. —Section 1842(b)(14) (42 U.S.C. 1395u(b)(14)) is amended— (1) by inserting "(i)" after "(14)(A)"; and (2) by adding at the end of subparagraph (A) the following new clause: "(ii) In determining the reasonable charge for a physicians' service specified in subparagraph (C)(i) and furnished during 1991, the prevailing charge for such service shall be the prevailing charge otherwise recognized for such service for the period during 1990 beginning on April 1, reduced by the same amount as the amount of the reduction effected under this paragraph (as amended by the Omnibus Budget Reconciliation Act of 1990) for such service during such period.". (b) UNSURVEYED SURGICAL AND TECHNICAL PROCEDURES. —(1) Section 1842(b) (42 U.S.C. 1395u(b)) is amended by adding at the end the following new paragraph: "(16)(A) In determining the reasonable charge for all physicians' services other than physicians' services specified in subparagraph (B) furnished during 1991, the prevailing charge for a locality shall be 6.5 percent below the prevailing charges used in the locality under this part in 1990 after March 31. "(B) For purposes of subparagraph (A), the physicians' services specified in this subparagraph are as follows: "(i) Radiology, anesthesia and physician pathology services, the technical components of diagnostic tests specified in para-